摘要：目的： 探讨经腹式全子宫切除术后病人留置镇痛泵的尿潴留情况及护理预防措施。方法：将82例腹式全子宫切除术后留置镇痛泵的病人随机分为两组。实验组41例，分别于术后43h取镇痛泵和术后48h取导尿管。对照组41例，于术后48h同时取镇痛泵和导尿管。对比两组尿潴留及经护理后重新留置导尿管的情况。结果： 实验组取导尿管后5h内能自解小便比率明显高于对照组(p<0.01)，重新留置导尿管比率低于对照组(p<0.05)。结论：腹式全子宫切除术后取镇痛泵5h后再取导尿管，可减少尿潴留的发生。

    关键词:镇痛泵；腹式全子宫切除；尿潴留

    The clinical analysis and prevention of urine retention postoperative epidural analgesia after hysterectomy

    LIU Chan-fang,LIU Wei，el at

    (The Second Hospital Afilliated to Shantou University Medical College, Guangdong Shantou 515041，China)

    Abstract: Objective: To analyze the development and prevention of urine retention postoperative epidural analgesia after hysterectomy. Method: 82 patients who received epidural analgesia after hysterectomy were divided into two groups at random. In test group the patients were removed the epidural tubes postoperative 43 hours and removed the urine tubes postoperative 48 hours; in control group the patients were removed the epidural tubes and the urine tubes postoperative 48 hours at the same time. The followings were observed: urine retention, the preventive ways and the remaining of urine tubes after treatment. Results: The patients who could urinate in 5 hours after removing the urine tubes were more than those in the control group(p<0.01). The patients who have to remain urine tubes for the second time in the test group were less than those in the control group (p<0.05). Conclusions: Removing the urine tube after 5 hours of removing the epidural tubes could prevent the patients who had postoperative epidural analgesia after hysterectomy from urine retention effectively. ......